NPI | 1477386928 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC1900X Psychologist, Counseling |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
103TF0000X Psychologist, Family | |
103TP2701X Psychologist, Group Psychotherapy | |
103T00000X Psychologist | |
Enumeration Date | 2024-08-21 |
Last Update Date | 2024-10-31 |