| NPI | 1093098386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist School (Licence: PR 2842) |
| Additional Taxonomies | 103TC1900X Psychologist Counseling (Licence: PR 2842) |
| Enumeration Date | 2011-09-22 |
| Last Update Date | 2011-09-22 |