| NPI | 1700384054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: NE 576) |
| Additional Taxonomies | 103TF0000X Psychologist, Family (Licence: NE 576) |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: NE 576) | |
| Enumeration Date | 2018-01-31 |
| Last Update Date | 2018-03-21 |