| NPI | 1366834442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MA 11188) |
| Enumeration Date | 2015-02-25 |
| Last Update Date | 2023-01-17 |