| NPI | 1861910085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IA 092918) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 567) |
| Enumeration Date | 2017-09-08 |
| Last Update Date | 2019-12-31 |