NPI | 1780096719 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: PR 005217) |
Additional Taxonomies | 103T00000X Psychologist |
103TB0200X Psychologist, Cognitive & Behavioral | |
Enumeration Date | 2014-05-26 |
Last Update Date | 2020-08-23 |