| NPI | 1194966515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: NC 3752) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 3752) |
| Enumeration Date | 2009-03-14 |
| Last Update Date | 2024-07-01 |