| NPI | 1083856702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MA 9491) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 115087) |
| Enumeration Date | 2009-03-26 |
| Last Update Date | 2016-10-05 |