| NPI | 1245759190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WI 5213-17) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 3537-226) |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2024-06-12 |