NPI | 1861995680 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MO 01715) |
Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: KS 1033) |
Enumeration Date | 2018-03-18 |
Last Update Date | 2018-03-18 |