NPI | 1659433696 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: GA PSY003528) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC004768) |
Enumeration Date | 2006-12-15 |
Last Update Date | 2018-03-17 |