| NPI | 1023229994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: PR 1684) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PR 1684) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2024-12-10 |