| NPI | 1861172116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: DE B1-0011447) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: PA PC010213) |
| Enumeration Date | 2023-07-21 |
| Last Update Date | 2024-02-03 |