| NPI | 1295911303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NE 725) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 3154) |
| Enumeration Date | 2008-01-18 |
| Last Update Date | 2009-08-27 |