| NPI | 1215208392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: AR 13-03EI) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: AR 13-03EI) |
| Enumeration Date | 2012-01-20 |
| Last Update Date | 2022-10-24 |