NPI | 1730269283 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS008581L) |
Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: PA ps008581L) |
Enumeration Date | 2006-10-17 |
Last Update Date | 2023-10-11 |