NPI | 1053783530 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC1900X Psychologist, Counseling |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 00991543) |
Enumeration Date | 2015-10-23 |
Last Update Date | 2020-12-16 |