| NPI | 1568114551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: KS 03045T) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: WA PY61337833) |
| Enumeration Date | 2022-01-21 |
| Last Update Date | 2023-12-15 |