| NPI | 1639335219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MO 2008030661) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2007009123) |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2023-12-27 |