| NPI | 1093894271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: NC 3078) |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TP2701X Psychologist, Group Psychotherapy | |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2007-07-08 |