| NPI | 1760599211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WI 3102-57) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WI 3601-125) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2022-01-18 |