| NPI | 1932799624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NE 819) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 14540) |
| Enumeration Date | 2021-01-26 |
| Last Update Date | 2026-08-26 |