| NPI | 1194790063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WI 1885-057) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: WI 1885-057) |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2010-12-30 |