NPI | 1902833643 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: NC 2190) |
Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral (Licence: NC 2190) |
103TC1900X Psychologist Counseling (Licence: NC 2190) | |
Enumeration Date | 2006-06-27 |
Last Update Date | 2007-07-08 |