NPI | 1952353666 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | |
Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: KS 0576) |
Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: KS 294) |
Enumeration Date | 2006-05-17 |
Last Update Date | 2007-07-08 |