| NPI | 1003123407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC006586) |
| Enumeration Date | 2010-09-07 |
| Last Update Date | 2021-02-12 |