NPI | 1659993301 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist |
Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral |
103TF0000X Psychologist Family | |
103TP2701X Psychologist Group Psychotherapy | |
Enumeration Date | 2020-05-15 |
Last Update Date | 2020-05-15 |