| NPI | 1528437910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NE 877) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: NE 877) |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2020-08-11 |