| NPI | 1013352988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA 3652) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: GA 3652) |
| Enumeration Date | 2013-05-06 |
| Last Update Date | 2013-05-06 |