| NPI | 1124120621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NE 956) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 1626) |
| Enumeration Date | 2006-09-04 |
| Last Update Date | 2019-12-30 |