| NPI | 1194761569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: CO PSY.0002211) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MS 46802) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2024-03-21 |