| NPI | 1730791682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DE B1-0011316) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC4615) |
| 103TC0700X Psychologist, Clinical (Licence: MD 05980) | |
| Enumeration Date | 2020-08-21 |
| Last Update Date | 2022-07-13 |