| NPI | 1255854006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WI 4062.57) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WI 3375-226) |
| 101YM0800X Counselor, Mental Health (Licence: WI 3375-226) | |
| 101YP2500X Counselor, Professional (Licence: 731257) | |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2023-06-26 |