| NPI | 1205192143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-16927) |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2022-08-15 |