NPI | 1437718624 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: WI 4043-57) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 4160-226) |
101YP2500X Counselor, Professional (Licence: WI 4160-226) | |
Enumeration Date | 2019-06-11 |
Last Update Date | 2024-10-30 |