| NPI | 1962166991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: NC 14029) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 14029) |
| Enumeration Date | 2021-10-26 |
| Last Update Date | 2024-07-15 |