| NPI | 1295013175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NE 840) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 4111) |
| Enumeration Date | 2011-07-27 |
| Last Update Date | 2014-11-04 |