NPI | 1124479860 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: NC 103311) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 94022057) |
Enumeration Date | 2016-06-23 |
Last Update Date | 2019-07-02 |