| NPI | 1194273771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NE 1038) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 10979) |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2021-05-14 |