NPI | 1881749398 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 6787) |
Additional Taxonomies | 103T00000X Psychologist (Licence: MA 6787) |
Enumeration Date | 2007-01-24 |
Last Update Date | 2021-02-01 |