| NPI | 1952909913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KS 03063) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 12252) |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2022-10-26 |