| NPI | 1376819045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TN 3695) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: OH C1000126) |
| 103TC1900X Psychologist Counseling (Licence: OH 07908) | |
| 103TC1900X Psychologist Counseling (Licence: IN 20043806A) | |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2024-06-12 |