NPI | 1124790217 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
Additional Taxonomies | 103TC1900X Psychologist, Counseling |
103TH0004X Psychologist, Health | |
Enumeration Date | 2021-09-28 |
Last Update Date | 2021-09-28 |