| NPI | 1609186055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NE 938) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 523) |
| 101YM0800X Counselor, Mental Health (Licence: IN 39002148A) | |
| Enumeration Date | 2010-10-19 |
| Last Update Date | 2017-08-24 |