| NPI | 1093371395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 5313) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| 103TH0100X Psychologist, Health Service | |
| 103TP2701X Psychologist, Group Psychotherapy | |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2019-05-13 |