NPI | 1992132203 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 36595) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: UT 5214107-2501) |
Enumeration Date | 2013-10-01 |
Last Update Date | 2013-10-01 |