| NPI | 1811454127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| 103TP0016X Psychologist, Prescribing (Medical) | |
| Enumeration Date | 2019-02-22 |
| Last Update Date | 2019-02-22 |