NPI | 1942412135 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: NM 1107) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC-4629) |
Enumeration Date | 2007-05-03 |
Last Update Date | 2017-12-20 |