NPI | 1952673063 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PR 4018) |
Additional Taxonomies | 103T00000X Psychologist (Licence: PR 4018) |
Enumeration Date | 2012-02-04 |
Last Update Date | 2024-10-02 |