| NPI | 1750691390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: PR 2757) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PR 2757) |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2023-02-01 |