| NPI | 1316331036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810007397) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor |
| Enumeration Date | 2015-03-19 |
| Last Update Date | 2021-06-09 |