| NPI | 1376946566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 4662) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: NC 4662) |
| Enumeration Date | 2014-10-01 |
| Last Update Date | 2024-04-29 |