| NPI | 1346872587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: LA 1584) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: LA 6203) |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2022-02-09 |