| NPI | 1154714699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: CO 4767) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: OR 2304) |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2018-04-19 |