| NPI | 1639200751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NH 1355) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NH 794) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2016-08-18 |