| NPI | 1093183741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810007048) |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2015-09-11 |
| Last Update Date | 2023-09-28 |