| NPI | 1841629367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: PR 1773) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PR 001773) |
| Enumeration Date | 2013-11-05 |
| Last Update Date | 2023-03-30 |