| NPI | 1306017710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: ID PSY202960) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID PSY-202960) |
| 103TC0700X Psychologist, Clinical (Licence: CA PSY 23464) | |
| Enumeration Date | 2008-03-13 |
| Last Update Date | 2022-11-09 |