NPI | 1740528660 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NH 1154) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NH 521) |
101YM0800X Counselor, Mental Health (Licence: MA 4606) | |
Enumeration Date | 2013-01-28 |
Last Update Date | 2013-01-28 |