NPI | 1376754366 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TA0700X Psychologist, Adult Development & Aging |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
Enumeration Date | 2007-05-24 |
Last Update Date | 2025-09-11 |