| NPI | 1326411950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: AZ 4678) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: NC 3383) |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2021-02-08 |