NPI | 1679723282 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: ID PSY203874) |
Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: ID 28825) |
Enumeration Date | 2008-09-19 |
Last Update Date | 2024-06-28 |