| NPI | 1073760070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: FL PY 7773) |
| Additional Taxonomies | 103TC1900X Psychologist Counseling (Licence: CT 002858) |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2008-08-20 |