| NPI | 1801199054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810006466) |
| Additional Taxonomies | 101Y00000X Counselor |
| 103TC0700X Psychologist, Clinical (Licence: AK 678) | |
| 103TC0700X Psychologist, Clinical (Licence: IN 20043077A) | |
| Enumeration Date | 2010-12-09 |
| Last Update Date | 2022-02-17 |