NPI | 1003442369 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: PA PS019632) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2020-03-19 |
Last Update Date | 2022-10-21 |