| NPI | 1154488211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY7097) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH6220) |
| Enumeration Date | 2007-01-01 |
| Last Update Date | 2018-08-07 |