| NPI | 1184938367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PR 3826) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PR 2509) |
| Enumeration Date | 2010-07-30 |
| Last Update Date | 2013-01-31 |