NPI | 1093982704 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: CO 0004968) |
Additional Taxonomies | 101Y00000X Counselor |
103T00000X Psychologist (Licence: CO 0004968) | |
Enumeration Date | 2008-05-12 |
Last Update Date | 2019-01-07 |