NPI | 1700193075 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NM 1493) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0122211) |
Enumeration Date | 2010-09-08 |
Last Update Date | 2023-10-13 |