| NPI | 1023565140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 12297) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NE 533) |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2023-01-30 |