NPI | 1851421853 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: IA 001119) |
Additional Taxonomies | 103T00000X Psychologist (Licence: GA PSY002877) |
Enumeration Date | 2007-03-07 |
Last Update Date | 2010-02-16 |