NPI | 1730632506 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 11931) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 11931) |
103T00000X Psychologist (Licence: NC 5371) | |
Enumeration Date | 2016-07-28 |
Last Update Date | 2023-07-28 |