| NPI | 1235572488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: KS 2353) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: IL 180.007455) |
| 103TC0700X Psychologist Clinical (Licence: MS 55 987) | |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2024-04-01 |