| NPI | 1295873115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MD 04534) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LC1296) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2018-12-14 |