| NPI | 1255823001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: NE 1055) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: KS 2723) |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2024-06-13 |