| NPI | 1245246834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 9605) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MA 5703) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2013-01-28 |