NPI | 1336590603 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: WI 5272-57) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WI 1043-124) |
Enumeration Date | 2016-06-28 |
Last Update Date | 2024-09-18 |