NPI | 1558034769 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: WA 61375403) |
Additional Taxonomies | 225C00000X Rehabilitation Counselor |
Enumeration Date | 2021-07-26 |
Last Update Date | 2023-02-28 |