| NPI | 1114657145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C6860) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PR 4152) |
| 103TC0700X Psychologist, Clinical (Licence: PR 7315) | |
| Enumeration Date | 2022-06-13 |
| Last Update Date | 2022-07-12 |