| NPI | 1245347335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 1443) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 3287) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2013-11-14 |