| NPI | 1063538791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist School |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: DC PRC13819) |
| 101YP2500X Counselor Professional (Licence: MD LC2388) | |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2013-10-16 |