NPI | 1396865242 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH19191) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: KY 0589) |
Enumeration Date | 2007-03-31 |
Last Update Date | 2022-11-21 |