| NPI | 1235448200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PR 3123) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: PR 3123) |
| 103TS0200X Psychologist, School (Licence: PR 3123) | |
| Enumeration Date | 2010-09-24 |
| Last Update Date | 2010-09-24 |