| NPI | 1790973998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: UT 12226713-2501) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 3369) |
| 103TS0200X Psychologist, School (Licence: CO RN143287) | |
| Enumeration Date | 2007-10-12 |
| Last Update Date | 2021-11-03 |