NPI | 1659345544 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: CO PSY.0000554) |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CO 554) |
Enumeration Date | 2006-02-15 |
Last Update Date | 2024-02-22 |