| NPI | 1396076451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NE 857) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 3672) |
| Enumeration Date | 2010-01-28 |
| Last Update Date | 2017-06-21 |