| NPI | 1073933354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NE 528) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 10227) |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2016-06-01 |