| NPI | 1316639974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: FL SS1602) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MHI24620) |
| Enumeration Date | 2023-05-23 |
| Last Update Date | 2024-08-19 |