| NPI | 1033651286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY9755) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH10274) |
| Enumeration Date | 2016-11-04 |
| Last Update Date | 2016-12-05 |