| NPI | 1912272634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NE 1119) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IA 076673) |
| Enumeration Date | 2012-03-13 |
| Last Update Date | 2024-04-10 |