| NPI | 1205116241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WI 2949-57) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 1146-226) |
| Enumeration Date | 2011-08-22 |
| Last Update Date | 2017-04-10 |