| NPI | 1982154449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: NC 6405) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: CO 4970) |
| 103TC1900X Psychologist, Counseling (Licence: MA 11767) | |
| 103TC1900X Psychologist, Counseling (Licence: 15175) | |
| Enumeration Date | 2016-10-09 |
| Last Update Date | 2023-09-19 |