| NPI | 1124268248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: HI PSY-1840) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103T00000X Psychologist (Licence: HI PSY-1840) | |
| 103TC0700X Psychologist, Clinical (Licence: CO PSY.0005251) | |
| Enumeration Date | 2009-03-02 |
| Last Update Date | 2020-04-02 |