| NPI | 1699087023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NH 1281) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 6958) |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2016-04-07 |