| NPI | 1194734400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WI 3464) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: AL 1135) |
| 103TC1900X Psychologist, Counseling (Licence: WI 3464) | |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2018-06-11 |