NPI | 1750970026 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: LA 1532) |
Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy (Licence: LA 1532) |
Enumeration Date | 2021-01-12 |
Last Update Date | 2021-01-12 |