NPI | 1881225092 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6361007781) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301017711) |
103TC0700X Psychologist, Clinical (Licence: MI 6362001286) | |
Enumeration Date | 2020-01-28 |
Last Update Date | 2023-01-18 |