| NPI | 1023246188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: AL 2102) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC4712) |
| 103T00000X Psychologist (Licence: GA PSY2456) | |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2019-03-19 |