| NPI | 1003427857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WI 4069) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 7489-125) |
| Enumeration Date | 2020-08-14 |
| Last Update Date | 2022-11-20 |