| NPI | 1477856078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CT 004631) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103T00000X Psychologist (Licence: MA 10029) | |
| Enumeration Date | 2010-12-21 |
| Last Update Date | 2024-09-23 |