| NPI | 1710639380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: FL 11-1406-GH) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 11-1406-GH) |
| Enumeration Date | 2022-01-25 |
| Last Update Date | 2022-01-25 |