NPI | 1932139425 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: FL PY 9485) |
Additional Taxonomies | 103T00000X Psychologist (Licence: MA 7249) |
Enumeration Date | 2006-07-03 |
Last Update Date | 2016-07-21 |