| NPI | 1376603951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TC1900X Psychologist, Counseling (Licence: AL 1419) | |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2023-02-17 |