| NPI | 1093722415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: AR 08-17P) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AR 06-09E) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2011-05-02 |