| NPI | 1942722061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WI 3634-57) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 6562-125) |
| Enumeration Date | 2017-07-11 |
| Last Update Date | 2018-11-13 |