| NPI | 1134344641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TN 3679) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC004598) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2022-01-21 |