| NPI | 1033236096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 1198) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: AZ 1196) |
| 103TC0700X Psychologist, Clinical (Licence: MD 2126) | |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2007-07-08 |