| NPI | 1053691105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WI 3365-57) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 5466-125) |
| Enumeration Date | 2011-08-21 |
| Last Update Date | 2024-07-11 |