NPI | 1912557281 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO 5372) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CO PSYC00014263) |
Enumeration Date | 2019-09-18 |
Last Update Date | 2024-05-09 |