NPI | 1790418655 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: OR 3947) |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: OR 3947) |
103TC1900X Psychologist, Counseling (Licence: OR 3947) | |
Enumeration Date | 2022-07-07 |
Last Update Date | 2025-09-05 |