NPI | 1497887087 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: MA 519) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 1872) |
Enumeration Date | 2007-03-10 |
Last Update Date | 2007-07-08 |