NPI | 1861450421 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: WA PY00003928) |
Additional Taxonomies | 103T00000X Psychologist (Licence: NE 323) |
103T00000X Psychologist (Licence: NY 015114) | |
Enumeration Date | 2006-05-03 |
Last Update Date | 2009-01-16 |