NPI | 1609616556 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: 6829) |
Additional Taxonomies | 103T00000X Psychologist (Licence: PR 6829) |
Enumeration Date | 2024-05-29 |
Last Update Date | 2024-05-29 |