| NPI | 1548750235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NE 1037) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NE 10733) |
| Enumeration Date | 2018-05-17 |
| Last Update Date | 2021-04-29 |