| NPI | 1558097782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: PR 7785) |
| Additional Taxonomies | 174H00000X Health Educator (Licence: 6435036) |
| Enumeration Date | 2022-07-29 |
| Last Update Date | 2024-01-03 |