NPI | 1184752495 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: SC 1042) |
Additional Taxonomies | 103T00000X Psychologist (Licence: SC 1042) |
103TP2701X Psychologist, Group Psychotherapy (Licence: SC 1042) | |
Enumeration Date | 2007-02-28 |
Last Update Date | 2007-07-08 |