| NPI | 1285855528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 2130) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 2130) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2022-07-21 |