| NPI | 1174650477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: NM 647) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: NM 647) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2015-07-24 |