NPI | 1275847709 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NV PY0632) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NV ip100514) |
Enumeration Date | 2010-07-26 |
Last Update Date | 2015-03-06 |