| NPI | 1417180084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WI 2950-57) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 42-226) |
| Enumeration Date | 2009-08-31 |
| Last Update Date | 2023-02-10 |