| NPI | 1548679103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WI 3542-57) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 2180-226) |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2018-02-05 |