NPI | 1821707381 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: FL PY11246) |
Additional Taxonomies | 103TF0000X Psychologist, Family (Licence: FL PY11246) |
Enumeration Date | 2022-11-22 |
Last Update Date | 2023-11-27 |