| NPI | 1326172644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: ID PSY-202270) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ID LPC-3004) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2023-05-02 |