| NPI | 1033519350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MO 2018030706) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: AZ PSY-005696) |
| Enumeration Date | 2014-08-25 |
| Last Update Date | 2025-01-13 |