NPI | 1588944417 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: WA PY61296860) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
103TC1900X Psychologist, Counseling (Licence: OR 3086) | |
Enumeration Date | 2011-08-23 |
Last Update Date | 2024-12-04 |