| NPI | 1255733200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810008109) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 103TC0700X Psychologist, Clinical (Licence: OK 1453) | |
| Enumeration Date | 2014-09-22 |
| Last Update Date | 2025-08-28 |