NPI | 1184960841 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: MD 06395) |
Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS017668) |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2012-12-27 |
Last Update Date | 2021-02-17 |