NPI | 1881920031 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY7888) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY7888) |
103TC1900X Psychologist, Counseling (Licence: FL PY 7888) | |
Enumeration Date | 2009-10-22 |
Last Update Date | 2024-11-05 |