NPI | 1760506083 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 04776) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC0364) |
Enumeration Date | 2007-03-19 |
Last Update Date | 2023-10-24 |