NPI | 1780899609 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: CO 3173) |
Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging |
103TB0200X Psychologist, Cognitive & Behavioral | |
103T00000X Psychologist | |
Enumeration Date | 2007-05-14 |
Last Update Date | 2023-03-13 |