| NPI | 1700804754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NC 1798) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NC 1798) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2024-07-15 |