NPI | 1831477702 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: PR 4046) |
Additional Taxonomies | 101Y00000X Counselor (Licence: PR 4653) |
Enumeration Date | 2011-07-26 |
Last Update Date | 2024-01-02 |