NPI | 1932207982 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS015436) |
Additional Taxonomies | 103TR0400X Psychologist, Rehabilitation (Licence: PA PS015436) |
Enumeration Date | 2006-09-20 |
Last Update Date | 2007-07-08 |