NPI | 1285861351 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: PR 1990) |
Additional Taxonomies | 103T00000X Psychologist (Licence: PR 1990) |
103TS0200X Psychologist, School (Licence: PR 1990) | |
Enumeration Date | 2009-06-16 |
Last Update Date | 2009-06-16 |