| NPI | 1013399708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AK 124877) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AK 936) |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2022-09-29 |