NPI | 1902591985 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DE B1-0011371) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PA PS019607) |
Enumeration Date | 2023-04-06 |
Last Update Date | 2024-06-28 |