| NPI | 1932586781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: VA 0810005918) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MD LC6215) |
| 103TC0700X Psychologist Clinical (Licence: MD 06000) | |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2022-09-28 |