| NPI | 1912286089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA 9526) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NC 4747) |
| 103T00000X Psychologist (Licence: NC 4747) | |
| Enumeration Date | 2011-08-08 |
| Last Update Date | 2023-03-16 |