| NPI | 1003178492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NE 863) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 9498) |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2014-10-23 |