NPI | 1346519287 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY12238) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH15296) |
103TC0700X Psychologist, Clinical (Licence: FL PY12238) | |
Enumeration Date | 2011-12-21 |
Last Update Date | 2024-04-28 |