NPI | 1124269832 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CT 003621) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
Enumeration Date | 2009-03-11 |
Last Update Date | 2017-03-14 |