NPI | 1457766768 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VT 048.0134613) |
Enumeration Date | 2014-06-25 |
Last Update Date | 2022-12-08 |