| NPI | 1568921955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: AL 1963) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: AL 1963) |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: AL 1963) | |
| Enumeration Date | 2019-03-15 |
| Last Update Date | 2021-11-09 |