| NPI | 1356490767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NV PYT170323) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 5570) |
| 103T00000X Psychologist (Licence: AL 1625) | |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2023-10-31 |