| NPI | 1316095425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: MI 6301013201) |
| Additional Taxonomies | 103TC1900X Psychologist Counseling (Licence: IN 20042009A) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2007-07-08 |