NPI | 1063866192 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CT 003428) |
Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: CT 003428) |
103T00000X Psychologist (Licence: CT 003428) | |
102X00000X Poetry Therapist (Licence: CT 003428) | |
Enumeration Date | 2016-04-14 |
Last Update Date | 2016-10-25 |