NPI | 1851816268 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 10629) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA 10639) |
Enumeration Date | 2017-08-07 |
Last Update Date | 2023-02-03 |