NPI | 1992154801 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 05257) |
Additional Taxonomies | 103TF0200X Psychologist, Forensic |
Enumeration Date | 2016-06-10 |
Last Update Date | 2016-09-14 |