| NPI | 1124191895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: ID PSY-202283) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: WY 344) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2007-07-09 |