NPI | 1710312558 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: TX 39448) |
Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: RI PS01882) |
Enumeration Date | 2013-09-12 |
Last Update Date | 2023-05-30 |