NPI | 1720235542 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: NC 3894) |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
Enumeration Date | 2008-08-22 |
Last Update Date | 2022-10-20 |