NPI | 1003171257 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY9480) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2012-07-12 |
Last Update Date | 2019-02-19 |