NPI | 1982797098 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS016082) |
Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS016082) |
Enumeration Date | 2006-10-02 |
Last Update Date | 2019-02-13 |