| NPI | 1326200718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 2152) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NC 2152) |
| 103TC1900X Psychologist, Counseling (Licence: NC 2152) | |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2019-03-20 |