NPI | 1952429235 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA PSY003394) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: AL 1591) |
Enumeration Date | 2007-03-26 |
Last Update Date | 2017-01-18 |