NPI | 1710639380 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TM1800X Psychologist Mental Retardation & Developmental Disabilities (Licence: FL 11-1406-GH) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL 11-1406-GH) |
Enumeration Date | 2022-01-25 |
Last Update Date | 2022-01-25 |