NPI | 1427585231 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 39771) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.010007) |
103TC0700X Psychologist, Clinical (Licence: IL 071.009463) | |
Enumeration Date | 2017-05-11 |
Last Update Date | 2023-06-02 |