NPI | 1104097633 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WV 915) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WV 1779) |
Enumeration Date | 2008-03-12 |
Last Update Date | 2008-03-12 |