| NPI | 1255506655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 225C00000X Rehabilitation Counselor | |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2023-11-20 |