| NPI | 1871668384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WI 2991) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: WI 2991 57) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2022-03-18 |