NPI | 1841541067 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TP2701X Psychologist, Group Psychotherapy |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2012-09-27 |
Last Update Date | 2019-08-01 |