| NPI | 1780033886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NE 959) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 506) |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2018-07-26 |