NPI | 1851572762 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 3066) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY5749) |
Enumeration Date | 2007-11-19 |
Last Update Date | 2021-11-19 |