| NPI | 1093982704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: CO 0004968) |
| Additional Taxonomies | 101Y00000X Counselor |
| 103T00000X Psychologist (Licence: CO 0004968) | |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2019-01-07 |