NPI | 1699423517 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 06725) |
Additional Taxonomies | 103T00000X Psychologist (Licence: MD 06725) |
103TC1900X Psychologist, Counseling (Licence: MD 06725) | |
Enumeration Date | 2022-03-10 |
Last Update Date | 2022-08-11 |