NPI | 1861801938 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NE 949) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: KS 2548) |
Enumeration Date | 2014-08-04 |
Last Update Date | 2017-11-06 |