| NPI | 1699327809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: SC 1694) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 11926) |
| Enumeration Date | 2019-07-09 |
| Last Update Date | 2021-09-23 |