NPI | 1831529452 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH11901) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY11544) |
Enumeration Date | 2013-11-18 |
Last Update Date | 2024-12-16 |