NPI | 1043534035 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: CA PSY 22323) |
Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: NY PSY 017443) |
Enumeration Date | 2010-03-18 |
Last Update Date | 2010-03-18 |