| NPI | 1134649361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: AL 3735) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC013969) |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: AL 3735) | |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2024-10-01 |