| NPI | 1356341564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: TN 2901) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: HI 1700) |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2020-11-12 |