NPI | 1982056008 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 11920) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NC 5061) |
Enumeration Date | 2016-07-13 |
Last Update Date | 2023-05-05 |