NPI | 1922311877 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: MA 9821) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA 9821) |
Enumeration Date | 2010-07-21 |
Last Update Date | 2022-11-23 |