| NPI | 1811141344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: TN 3676) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: TN 2771) |
| Enumeration Date | 2008-11-11 |
| Last Update Date | 2024-06-19 |