| NPI | 1790349983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 38685) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 11819) |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2021-07-28 |