| NPI | 1275960593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MO 2024007432) |
| Additional Taxonomies | 101Y00000X Counselor |
| 103TC0700X Psychologist, Clinical (Licence: VA 0810007592) | |
| Enumeration Date | 2013-10-01 |
| Last Update Date | 2025-04-10 |