| NPI | 1700193075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NM 1493) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0122211) |
| Enumeration Date | 2010-09-08 |
| Last Update Date | 2023-10-13 |