| NPI | 1366777328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AK PSYS116) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AK 543) |
| Enumeration Date | 2009-10-08 |
| Last Update Date | 2018-04-20 |