NPI | 1306298880 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist |
Additional Taxonomies | 101Y00000X Counselor |
103TC2200X Psychologist, Clinical Child & Adolescent | |
Enumeration Date | 2016-07-07 |
Last Update Date | 2024-09-19 |