| NPI | 1295765238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: NE 696) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: NY 60016697) |
| 103TC1900X Psychologist, Counseling (Licence: UT 6291316-2501) | |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2016-07-29 |