NPI | 1376623942 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: CA 28267) |
Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: NY 0169861) |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: DC PSY1000313) | |
Enumeration Date | 2006-10-17 |
Last Update Date | 2016-05-04 |