NPI | 1912316407 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: OR 2772) |
Additional Taxonomies | 103T00000X Psychologist (Licence: MA 10465) |
Enumeration Date | 2014-08-08 |
Last Update Date | 2016-12-20 |