| NPI | 1124479860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 103311) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 94022057) |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2019-07-02 |