NPI | 1902969132 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: VA 0810003673) |
Additional Taxonomies | 103T00000X Psychologist (Licence: DC psy1000119) |
Enumeration Date | 2006-12-19 |
Last Update Date | 2007-07-08 |