| NPI | 1376910851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MD 06739) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MD LGP6567) |
| 101YP2500X Counselor Professional | |
| 101YP2500X Counselor Professional (Licence: MD LC7791) | |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2021-11-10 |