| NPI | 1801204037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: IA 001295) |
| Additional Taxonomies | 103TC1900X Psychologist Counseling (Licence: IA 000623) |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2024-04-26 |