| NPI | 1114279445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: GA PSY003887) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: NY 020104-1) |
| Enumeration Date | 2012-10-10 |
| Last Update Date | 2021-11-16 |