NPI | 1538371190 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AR 07-27P) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AR 07-27P) |
103T00000X Psychologist (Licence: AR 07-27P) | |
Enumeration Date | 2007-05-04 |
Last Update Date | 2019-06-10 |