| NPI | 1134394125 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 103TC1900X Psychologist, Counseling | 
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC2724)  | 
| Enumeration Date | 2008-04-29 | 
| Last Update Date | 2011-04-10 |