NPI | 1558661900 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: NE 1094) |
Additional Taxonomies | 101Y00000X Counselor (Licence: NE 9265) |
101YM0800X Counselor, Mental Health (Licence: NE 683) | |
101YM0800X Counselor, Mental Health (Licence: NE 2655) | |
101YP2500X Counselor, Professional (Licence: NE 9265) | |
Enumeration Date | 2010-11-01 |
Last Update Date | 2024-11-11 |