NPI | 1588822134 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: 86) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AK 372) |
Enumeration Date | 2008-05-30 |
Last Update Date | 2013-10-02 |