| NPI | 1093204968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OR 3766) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103T00000X Psychologist (Licence: OR r188) | |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2024-12-03 |