| NPI | 1962715664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NE 819) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 8890) |
| Enumeration Date | 2010-07-22 |
| Last Update Date | 2023-11-10 |