| NPI | 1003073149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 001393) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS007751L) |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2008-11-24 |