NPI | 1912241308 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: TX 36782) |
Additional Taxonomies | 103T00000X Psychologist (Licence: MO 2012033734) |
Enumeration Date | 2012-11-26 |
Last Update Date | 2018-04-11 |