| NPI | 1043279961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: AR 05-8E) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: KY KY-0571) |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2007-07-08 |