NPI | 1871626390 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: GA 2438) |
Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: GA 2438) |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: GA 2438) | |
103TF0000X Psychologist, Family (Licence: GA 2438) | |
Enumeration Date | 2007-03-13 |
Last Update Date | 2007-07-08 |