| NPI | 1801231048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: ND 544) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: ND 747-4-15-13A) |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2019-05-20 |