| NPI | 1083937874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: GA 004067) |
| Additional Taxonomies | 101Y00000X Counselor |
| 103TC1900X Psychologist, Counseling (Licence: GA 004067) | |
| Enumeration Date | 2010-03-08 |
| Last Update Date | 2022-07-21 |