NPI | 1376819045 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: TN 3695) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C1000126) |
103TC1900X Psychologist, Counseling (Licence: OH 07908) | |
103TC1900X Psychologist, Counseling (Licence: IN 20043806A) | |
Enumeration Date | 2012-03-28 |
Last Update Date | 2024-06-12 |