| NPI | 1518139641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810008062) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR #C3548) |
| Enumeration Date | 2008-03-28 |
| Last Update Date | 2023-01-16 |