NPI | 1194959924 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: NC 4843) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA RC00059029) |
Enumeration Date | 2009-05-07 |
Last Update Date | 2019-04-08 |