NPI | 1194273771 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: NE 1038) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 10979) |
Enumeration Date | 2016-09-13 |
Last Update Date | 2021-05-14 |