NPI | 1871913533 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO 3731) |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CO 3731) |
103TF0200X Psychologist, Forensic (Licence: CO 3731) | |
Enumeration Date | 2014-04-21 |
Last Update Date | 2022-04-22 |