| NPI | 1316244700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DE B1-0001075) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: DE PC0000534) |
| Enumeration Date | 2011-02-21 |
| Last Update Date | 2016-10-07 |