NPI | 1639335219 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MO 2008030661) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2007009123) |
Enumeration Date | 2008-08-01 |
Last Update Date | 2023-12-27 |