| NPI | 1942585823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WI 5384-125) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WI 1142-226) |
| 103TC0700X Psychologist, Clinical (Licence: WI 3378-57) | |
| Enumeration Date | 2011-10-11 |
| Last Update Date | 2025-03-04 |