| NPI | 1881348837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: FL PY11391) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: WI 3826) |
| Enumeration Date | 2022-02-08 |
| Last Update Date | 2022-05-02 |