| NPI | 1053533901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: VA 0810005187) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: FL PY 7465) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2016-09-14 |