NPI | 1457564114 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA 6116) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 000437) |
103TB0200X Psychologist, Cognitive & Behavioral (Licence: MA 1952) | |
103TB0200X Psychologist, Cognitive & Behavioral (Licence: NC 0503) | |
Enumeration Date | 2007-05-08 |
Last Update Date | 2025-09-11 |