| NPI | 1740735489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MD 06284) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 10705) |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2022-05-25 |