NPI | 1750737284 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301017007) |
Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MI 6301017007) |
103TC1900X Psychologist, Counseling | |
103T00000X Psychologist | |
Enumeration Date | 2016-05-13 |
Last Update Date | 2018-11-15 |