| NPI | 1548776495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WI 5223-57) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 7753-125) |
| 101YM0800X Counselor, Mental Health (Licence: WI 7753-125) | |
| Enumeration Date | 2017-12-14 |
| Last Update Date | 2024-06-11 |