| NPI | 1932358058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CT 3758) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL LMHC 8233) |
| Enumeration Date | 2008-09-12 |
| Last Update Date | 2018-07-23 |