| NPI | 1447624614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101Y00000X Counselor |
| 103TC1900X Psychologist, Counseling | |
| 225C00000X Rehabilitation Counselor | |
| Enumeration Date | 2015-11-25 |
| Last Update Date | 2021-06-29 |