NPI | 1982781779 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: CO 3253) |
Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY 7349) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2011-02-03 |