| NPI | 1033362082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NE 919) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 4317) |
| 101YP2500X Counselor, Professional (Licence: NE 2099) | |
| 103TC1900X Psychologist, Counseling (Licence: NE 517) | |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2021-02-02 |