| NPI | 1992900591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: LA 1794) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| 103TC1900X Psychologist, Counseling (Licence: MS 46810) | |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2026-08-04 |