NPI | 1649498502 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: HI PSY 993) |
Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: CA PSY 17499) |
Enumeration Date | 2007-04-23 |
Last Update Date | 2010-10-07 |