NPI | 1376099770 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: FL Py9608) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL Mh12421) |
Enumeration Date | 2016-08-26 |
Last Update Date | 2017-03-03 |