| NPI | 1881019867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: AR 202154) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MA 10542) |
| Enumeration Date | 2014-02-27 |
| Last Update Date | 2022-08-14 |