| NPI | 1922550870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 13288-MH-CC) |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2022-08-10 |