| NPI | 1497826226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 1190) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH4906) |
| 103TS0200X Psychologist, School (Licence: FL SS794) | |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2025-09-11 |