NPI | 1134379803 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: IN 39001322A) |
Additional Taxonomies | 101YP2500X Counselor Professional (Licence: IN 39953) |
103TB0200X Psychologist Cognitive & Behavioral (Licence: WV 12483) | |
Enumeration Date | 2008-09-30 |
Last Update Date | 2008-09-30 |