| NPI | 1265507255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NC 2410) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: NC 2410) |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2008-06-09 |