| NPI | 1487181236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 13063) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 9520) |
| 101YP2500X Counselor, Professional (Licence: FL 24294) | |
| 103TF0200X Psychologist, Forensic (Licence: NC 13063) | |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2025-01-08 |