| NPI | 1285270926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: LA 1763) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: KS 03223) |
| 103TC1900X Psychologist, Counseling (Licence: CA PSB94025204) | |
| Enumeration Date | 2019-11-18 |
| Last Update Date | 2026-03-06 |