| NPI | 1073666509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NV PY134) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NV PY134) |
| 103TC1900X Psychologist, Counseling (Licence: NV PY134) | |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2007-09-25 |