| NPI | 1437513967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NE 937) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NE 10834) |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2017-09-06 |