| NPI | 1447665674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WI 3177-57) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WI 3177-57) |
| 103TC0700X Psychologist, Clinical (Licence: WI 3177-57) | |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2024-10-23 |