| NPI | 1801394309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MD A0609) |
| Additional Taxonomies | 101Y00000X Counselor |
| 103TC1900X Psychologist, Counseling (Licence: MD A0609) | |
| Enumeration Date | 2018-01-30 |
| Last Update Date | 2021-08-22 |