| NPI | 1295135416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AZ 4842) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2014-08-25 |
| Last Update Date | 2022-07-21 |