NPI | 1912175191 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: DE B10000809) |
Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS016365) |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: PA PS016365) | |
Enumeration Date | 2008-02-11 |
Last Update Date | 2024-11-21 |