NPI | 1497067482 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: DE B10000943) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 9170) |
Enumeration Date | 2010-07-08 |
Last Update Date | 2013-02-27 |