| NPI | 1427499409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WI 3511-57) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 1750-226) |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2022-07-06 |