NPI | 1275214611 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD A0809) |
Additional Taxonomies | 103TH0004X Psychologist, Health |
103TC1900X Psychologist, Counseling | |
103TP2701X Psychologist, Group Psychotherapy | |
Enumeration Date | 2023-07-28 |
Last Update Date | 2023-07-28 |