| NPI | 1083164115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CT 5011) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2025-02-25 |