| NPI | 1932757127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: SC 1420) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: SC 1420) |
| Enumeration Date | 2019-08-30 |
| Last Update Date | 2024-11-16 |