| NPI | 1891889663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PR 2714) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NA) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2024-04-30 |