| NPI | 1366757049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: AK PSY P 660) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 533-226) |
| 101YP2500X Counselor, Professional (Licence: AK 732) | |
| Enumeration Date | 2010-08-18 |
| Last Update Date | 2018-03-13 |