NPI | 1972502508 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 3404) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TN P2530) |
Enumeration Date | 2005-07-15 |
Last Update Date | 2007-09-11 |