| NPI | 1356026330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: FL PY7709) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: NC 3333) |
| Enumeration Date | 2023-06-19 |
| Last Update Date | 2023-06-19 |