NPI | 1184819872 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: CO PSY 3461) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CO PSY 3461) |
Enumeration Date | 2007-09-06 |
Last Update Date | 2010-07-22 |