| NPI | 1912496886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 103TH0100X Psychologist Health Service | |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2024-04-19 |