| NPI | 1972039634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810008678) |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2024-12-02 |