| NPI | 1023631074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NE 1095) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 12188) |
| Enumeration Date | 2020-05-26 |
| Last Update Date | 2022-08-26 |