NPI | 1497289375 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: NC 4754) |
Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: NC 4754) |
Enumeration Date | 2017-04-17 |
Last Update Date | 2022-10-25 |