NPI | 1740429695 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO 3419) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 5149) |
Enumeration Date | 2009-02-17 |
Last Update Date | 2018-09-18 |