| NPI | 1437701109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: CA 31059) |
| Additional Taxonomies | 103TC1900X Psychologist Counseling (Licence: WI 3784-57) |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2020-05-18 |