| NPI | 1275089583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: 33615) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101Y00000X Counselor | |
| 103T00000X Psychologist | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-08-27 |
| Last Update Date | 2022-11-07 |