NPI | 1306279096 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: PR 004711) |
Additional Taxonomies | 103T00000X Psychologist (Licence: PR 004711) |
174H00000X Health Educator (Licence: PR 004711) | |
Enumeration Date | 2013-08-16 |
Last Update Date | 2024-09-24 |