| NPI | 1215182894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MO 2022038982) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2009009846) |
| Enumeration Date | 2008-11-24 |
| Last Update Date | 2022-10-05 |