NPI | 1396806501 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: HI 1174) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: HI 110) |
Enumeration Date | 2006-12-12 |
Last Update Date | 2020-12-08 |