| NPI | 1437718624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WI 4043-57) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 4160-226) |
| 101YP2500X Counselor, Professional (Licence: WI 4160-226) | |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2024-10-30 |