| NPI | 1134796931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KY 286393) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| Enumeration Date | 2021-06-09 |
| Last Update Date | 2023-09-07 |