| NPI | 1740739804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: UT 12377684-2504) |
| 103TF0200X Psychologist Forensic (Licence: UT 12377684-2504) | |
| Enumeration Date | 2016-09-29 |
| Last Update Date | 2021-11-05 |