| NPI | 1609135417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: AL 1902) |
| Enumeration Date | 2012-05-14 |
| Last Update Date | 2025-08-13 |