NPI | 1851065932 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WV 1298) |
Additional Taxonomies | 103T00000X Psychologist (Licence: WV 71421) |
103TC0700X Psychologist, Clinical (Licence: WV 71421) | |
103TC0700X Psychologist, Clinical (Licence: OH 6614) | |
103TH0004X Psychologist, Health (Licence: WV 71421) | |
103TH0004X Psychologist, Health (Licence: WV 1298) | |
Enumeration Date | 2021-08-03 |
Last Update Date | 2021-12-29 |