NPI | 1467563650 |
---|---|
Other Name | GLORIA LIGHT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: CT 001413) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CT 000203) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2025-05-01 |