| NPI | 1114926029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: NE 587) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NE 587) |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2023-08-09 |