NPI | 1851671788 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NV unlicensed postdoc) |
Additional Taxonomies | 103TH0004X Psychologist, Health (Licence: NV unlicensed) |
Enumeration Date | 2011-08-23 |
Last Update Date | 2013-07-10 |