NPI | 1871011098 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: OH P.08497) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
103T00000X Psychologist (Licence: KS 03078) | |
Enumeration Date | 2017-09-08 |
Last Update Date | 2024-05-09 |