| NPI | 1538574256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: VT 048.0131724) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 103TC0700X Psychologist Clinical (Licence: NY 022178) | |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2022-07-21 |