| NPI | 1285940346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: LA 476) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA 1027) |
| Enumeration Date | 2010-08-27 |
| Last Update Date | 2010-08-27 |