NPI | 1851063531 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: ND 652) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NE 12586) |
103TC0700X Psychologist Clinical (Licence: ND 652) | |
Enumeration Date | 2021-10-01 |
Last Update Date | 2024-09-19 |