| NPI | 1043820236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MD 07066) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LGP6474) |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2024-12-05 |