NPI | 1255846564 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PR 5918) |
Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: PR 5918) |
Enumeration Date | 2017-12-08 |
Last Update Date | 2024-08-16 |