| NPI | 1275137077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: AL 2202) |
| Additional Taxonomies | 103TC1900X Psychologist Counseling (Licence: NC 6379) |
| Enumeration Date | 2020-11-23 |
| Last Update Date | 2023-11-27 |