NPI | 1831419340 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY10407) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH11719) |
Enumeration Date | 2010-06-07 |
Last Update Date | 2019-03-15 |