| NPI | 1780057810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MO 2014040973) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MO 2014040973) |
| Enumeration Date | 2015-11-11 |
| Last Update Date | 2025-06-16 |