NPI | 1831833839 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 04876) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0701011566) |
103TC0700X Psychologist, Clinical (Licence: VA 0810007900) | |
Enumeration Date | 2022-04-25 |
Last Update Date | 2022-08-05 |