| NPI | 1154383057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 6942) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MA 6942) |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2007-07-08 |