| NPI | 1659787661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PR 6672) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 4391701) | |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2023-01-19 |