| NPI | 1306919022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NV PY0651) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 103T00000X Psychologist (Licence: TX 34784) | |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2015-02-10 |