NPI | 1548719206 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: UT 12906878-2501) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2016-09-22 |
Last Update Date | 2022-07-20 |