| NPI | 1326437203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WI 3811) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 10427) |
| Enumeration Date | 2015-01-15 |
| Last Update Date | 2020-08-31 |