| NPI | 1326375197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: FL PY8013) |
| Additional Taxonomies | 103TC1900X Psychologist Counseling |
| Enumeration Date | 2009-11-16 |
| Last Update Date | 2012-07-10 |