| NPI | 1679176424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TP0814X Psychologist, Psychoanalysis |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| Enumeration Date | 2020-11-16 |
| Last Update Date | 2020-12-23 |