| NPI | 1306249982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: VA 0810007279) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9236267) |
| Enumeration Date | 2014-09-26 |
| Last Update Date | 2022-09-16 |