| NPI | 1508536913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: FL PY12217) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| Enumeration Date | 2021-09-16 |
| Last Update Date | 2024-04-08 |