NPI | 1952724668 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 5081) |
Additional Taxonomies | 103T00000X Psychologist (Licence: NC 5081) |
Enumeration Date | 2014-01-31 |
Last Update Date | 2022-06-09 |