NPI | 1669630042 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MD 04462) |
Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: DC PSY1000399) |
Enumeration Date | 2008-06-02 |
Last Update Date | 2024-07-09 |