| NPI | 1043820236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MD 07066) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810008200) |
| 101YP2500X Counselor, Professional (Licence: MD LC10977) | |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2026-01-30 |