| NPI | 1346400132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO 3837) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 4859) |
| Enumeration Date | 2008-06-15 |
| Last Update Date | 2021-03-26 |