NPI | 1033567599 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS018877) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 10865) |
Enumeration Date | 2016-05-25 |
Last Update Date | 2021-03-25 |