| NPI | 1992201917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: ND 564) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: OR 2949) |
| 103TH0100X Psychologist, Health Service (Licence: OR 2949) | |
| Enumeration Date | 2018-03-30 |
| Last Update Date | 2019-04-11 |