NPI | 1841915972 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0005787) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WI 3919-57) |
Enumeration Date | 2022-10-11 |
Last Update Date | 2022-10-11 |