NPI | 1184241069 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0006504) |
Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: CO 00015457) |
101YM0800X Counselor, Mental Health | |
103T00000X Psychologist (Licence: CO 00015457) | |
103TC0700X Psychologist, Clinical (Licence: CO 00015457) | |
Enumeration Date | 2020-06-26 |
Last Update Date | 2024-09-17 |