NPI | 1871859702 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: FL PY10613) |
Additional Taxonomies | 103T00000X Psychologist (Licence: PR 4152) |
Enumeration Date | 2012-04-04 |
Last Update Date | 2023-11-15 |