NPI | 1871311514 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PR 8436) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PR 13418) |
Enumeration Date | 2024-10-01 |
Last Update Date | 2025-09-28 |