| NPI | 1336595834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: SD 610) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 10863) |
| Enumeration Date | 2016-05-13 |
| Last Update Date | 2024-02-01 |