NPI | 1841901063 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: MD 06864) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810007725) |
Enumeration Date | 2022-12-08 |
Last Update Date | 2022-12-08 |