| NPI | 1154877389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: AK 216818) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AK 113884) |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2024-02-06 |