NPI | 1427398585 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WI 3230-57) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2013-02-26 |
Last Update Date | 2024-10-01 |