| NPI | 1669876538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MO 2014037341) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MO 2014037341) |
| Enumeration Date | 2014-10-21 |
| Last Update Date | 2020-12-04 |