NPI | 1922592567 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: CO PSY.0004933) |
Additional Taxonomies | 103T00000X Psychologist |
Enumeration Date | 2018-06-18 |
Last Update Date | 2018-12-08 |