NPI | 1609986132 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: NC 2462) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH00011038) |
Enumeration Date | 2006-08-30 |
Last Update Date | 2009-10-23 |