| NPI | 1285926998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA 005637) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA 005637) |
| 103T00000X Psychologist (Licence: GA 005637) | |
| 103TF0000X Psychologist, Family (Licence: GA 005637) | |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2018-12-21 |