NPI | 1649667460 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY10599) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2015-04-20 |
Last Update Date | 2023-01-18 |