| NPI | 1669794616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810007659) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 8285) |
| 101Y00000X Counselor | |
| Enumeration Date | 2010-02-18 |
| Last Update Date | 2022-04-23 |