NPI | 1235572488 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KS 2353) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.007455) |
103TC0700X Psychologist, Clinical (Licence: MS 55 987) | |
Enumeration Date | 2013-04-08 |
Last Update Date | 2024-04-01 |