NPI | 1982679908 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: NH 56) |
Additional Taxonomies | 103T00000X Psychologist (Licence: MA 105493) |
1041C0700X Social Worker, Clinical (Licence: NH 56) | |
1041C0700X Social Worker, Clinical (Licence: MA 105493) | |
Enumeration Date | 2006-02-22 |
Last Update Date | 2007-07-08 |