| NPI | 1831523232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MO 2014040968) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2012011493) |
| Enumeration Date | 2013-08-21 |
| Last Update Date | 2019-03-22 |