NPI | 1780804013 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PR 2556) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PR 564) |
Enumeration Date | 2007-04-27 |
Last Update Date | 2009-09-28 |