NPI | 1710375134 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY9222) |
Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: FL PY9222) |
Enumeration Date | 2015-01-07 |
Last Update Date | 2015-01-07 |