NPI | 1699126177 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810007941) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 94021997) |
Enumeration Date | 2016-06-27 |
Last Update Date | 2022-11-03 |