| NPI | 1306199245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 36341) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: 17483) |
| 103T00000X Psychologist (Licence: NJ 35S100461900) | |
| 103T00000X Psychologist (Licence: NY 17357) | |
| 103TC1900X Psychologist, Counseling (Licence: CA 21637) | |
| Enumeration Date | 2012-10-16 |
| Last Update Date | 2023-10-03 |