| NPI | 1588858435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: UT 12896397-2501) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: KY 1742) |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2024-06-20 |