| NPI | 1326351008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MD 05236) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NH 9171) |
| Enumeration Date | 2010-07-22 |
| Last Update Date | 2012-10-25 |