NPI | 1891384681 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: WA 61029049) |
Additional Taxonomies | 103T00000X Psychologist (Licence: NC 6003) |
Enumeration Date | 2021-01-15 |
Last Update Date | 2021-11-03 |