| NPI | 1073709390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: CO 2669) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: WA PY00003759) |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2007-09-20 |