NPI | 1962419028 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 5315) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA 6977) |
Enumeration Date | 2006-08-02 |
Last Update Date | 2019-04-25 |