| NPI | 1780024968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103T00000X Psychologist (Licence: WV 1200) | |
| Enumeration Date | 2013-07-02 |
| Last Update Date | 2022-04-22 |