| NPI | 1073171856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MD 07415) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC9542) |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2025-07-24 |