NPI | 1962282962 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy |
103TS0200X Psychologist, School | |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2023-10-05 |
Last Update Date | 2023-10-05 |