NPI | 1801094289 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 551) |
Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: OR 551) |
Enumeration Date | 2007-07-06 |
Last Update Date | 2024-09-30 |