| NPI | 1568718005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NE 897) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810005477) |
| 101YM0800X Counselor, Mental Health (Licence: NE 9722) | |
| 103TC0700X Psychologist, Clinical (Licence: NE 897) | |
| Enumeration Date | 2012-08-02 |
| Last Update Date | 2018-09-23 |