| NPI | 1245208578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: NC 4272) |
| Additional Taxonomies | 103TC1900X Psychologist Counseling (Licence: GA 2318) |
| Enumeration Date | 2006-03-11 |
| Last Update Date | 2013-04-11 |