| NPI | 1316432842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CO 0006884) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 0015440) |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2025-09-24 |