| NPI | 1386973311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 2165) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2009-12-22 |
| Last Update Date | 2023-02-17 |