NPI | 1225314321 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AR 202143) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AR P2008062) |
103TC0700X Psychologist, Clinical (Licence: AR 11-32AP-PL) | |
103TC1900X Psychologist, Counseling | |
Enumeration Date | 2011-11-02 |
Last Update Date | 2022-05-08 |