| NPI | 1619533122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OR 3808) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WA LH60960679) |
| 101YP2500X Counselor, Professional (Licence: NM CCMH0199811) | |
| Enumeration Date | 2019-05-10 |
| Last Update Date | 2024-09-30 |