NPI | 1659744407 |
---|---|
Other Name | ELIZA A WINTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 2805) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
103TF0200X Psychologist, Forensic | |
103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
Enumeration Date | 2015-11-02 |
Last Update Date | 2021-01-08 |