NPI | 1598167512 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 22) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2014-09-22 |
Last Update Date | 2015-10-28 |