| NPI | 1174829758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: FL PY12674) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MD 05333) |
| 103TC1900X Psychologist, Counseling (Licence: NC 4085) | |
| 103TC1900X Psychologist, Counseling (Licence: VA 0810005069) | |
| Enumeration Date | 2011-01-31 |
| Last Update Date | 2025-10-27 |