NPI | 1992104020 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: DE B1-0001096) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2014-08-14 |
Last Update Date | 2018-04-18 |