| NPI | 1174965529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NE 883) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 4414) |
| Enumeration Date | 2013-07-26 |
| Last Update Date | 2015-10-01 |