| NPI | 1326343633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TH0100X Psychologist, Health Service (Licence: MD 06007) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KS 2218) |
| Enumeration Date | 2011-01-18 |
| Last Update Date | 2018-08-23 |