NPI | 1326200718 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: NC 2152) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NC 2152) |
103TC1900X Psychologist, Counseling (Licence: NC 2152) | |
Enumeration Date | 2008-06-27 |
Last Update Date | 2019-03-20 |