NPI | 1184840498 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY11950) |
Additional Taxonomies | 103TC1900X Psychologist Counseling (Licence: PR 2441) |
Enumeration Date | 2007-04-17 |
Last Update Date | 2024-02-05 |