| NPI | 1275878522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CT 3677) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 9799) |
| Enumeration Date | 2012-11-27 |
| Last Update Date | 2022-07-21 |