NPI | 1821654807 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: MS 591034) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MS 591034) |
103TS0200X Psychologist, School | |
Enumeration Date | 2019-05-14 |
Last Update Date | 2020-12-08 |