NPI | 1992428452 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS020062) |
Additional Taxonomies | 103TS0200X Psychologist, School (Licence: PA 1070696) |
Enumeration Date | 2022-09-20 |
Last Update Date | 2024-01-03 |