NPI | 1356644223 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 9911) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 8389) |
103T00000X Psychologist (Licence: MA 9911) | |
Enumeration Date | 2010-12-14 |
Last Update Date | 2019-04-09 |