NPI | 1770036261 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AZ 005294) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2016-08-01 |
Last Update Date | 2020-09-14 |