| NPI | 1295386472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: IA 093352) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MN LP6929) |
| Enumeration Date | 2019-09-27 |
| Last Update Date | 2023-08-15 |