| NPI | 1326659871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: 6142) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: PR 6142) |
| Enumeration Date | 2020-08-10 |
| Last Update Date | 2020-08-10 |