| NPI | 1518433978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WI 3571-57) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: WI 3571-57) |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2019-07-17 |