| NPI | 1053850685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: NE 971) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: SC 1439) |
| Enumeration Date | 2017-02-15 |
| Last Update Date | 2019-06-24 |