NPI | 1639765878 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist |
Additional Taxonomies | 103T00000X Psychologist |
225C00000X Rehabilitation Counselor | |
Enumeration Date | 2020-12-11 |
Last Update Date | 2023-06-29 |