| NPI | 1396272100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY12396) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH14707) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2024-09-27 |