NPI | 1841624541 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 06102) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA 10356) |
103TC0700X Psychologist, Clinical (Licence: NY 021447) | |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2013-08-29 |
Last Update Date | 2022-07-28 |