NPI | 1346332855 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MA 7298) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA 7298) |
Enumeration Date | 2006-09-29 |
Last Update Date | 2018-07-30 |