| NPI | 1134495971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: GA 003777) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC006380) |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2023-06-14 |