NPI | 1891273561 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2472E0500X Technician, Other, EEG |
Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: GA 002275) |
Enumeration Date | 2018-08-03 |
Last Update Date | 2018-08-03 |