| NPI | 1356924898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 14494) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NE 718) |
| 103TC0700X Psychologist, Clinical (Licence: NE 718) | |
| Enumeration Date | 2021-05-03 |
| Last Update Date | 2025-07-01 |