| NPI | 1295471639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: LA 1716) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 12949) |
| Enumeration Date | 2022-05-09 |
| Last Update Date | 2025-03-27 |