| NPI | 1205037512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MS 44709) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: TX 25213t) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2007-07-08 |