NPI | 1093241721 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CT 3727) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CT 3176) |
Enumeration Date | 2017-05-01 |
Last Update Date | 2025-07-01 |