| NPI | 1447639620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: OR 3318) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: AL 1959) |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2021-12-05 |