NPI | 1881743730 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 3489) |
Additional Taxonomies | 103TH0100X Psychologist, Health Service (Licence: MD 3489) |
103T00000X Psychologist (Licence: MD 3489) | |
Enumeration Date | 2007-01-09 |
Last Update Date | 2007-07-08 |