| NPI | 1306169081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: PR 3539) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PR 15836) |
| Enumeration Date | 2010-03-09 |
| Last Update Date | 2015-12-17 |