| NPI | 1508127523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AZ PSY-005023) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ PSY-005023) |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2023-09-21 |