| NPI | 1154064954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NE 1165) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NE 6040) |
| 101Y00000X Counselor (Licence: NE 738) | |
| Enumeration Date | 2022-04-19 |
| Last Update Date | 2024-11-07 |