| NPI | 1194230599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WI 3661-57) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: WI 6743-125) |
| Enumeration Date | 2017-12-06 |
| Last Update Date | 2019-02-26 |