| NPI | 1184016958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: PR 4652) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: PR 6728) |
| Enumeration Date | 2015-03-03 |
| Last Update Date | 2015-03-03 |