NPI | 1477884245 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OK 1134) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2010-01-19 |
Last Update Date | 2011-08-10 |