| NPI | 1285861351 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: PR 1990)  | 
| Additional Taxonomies | 103T00000X Psychologist (Licence: PR 1990)  | 
| 103TS0200X Psychologist, School (Licence: PR 1990)  | |
| Enumeration Date | 2009-06-16 | 
| Last Update Date | 2009-06-16 |