| NPI | 1356698641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: PR 4258) |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic (Licence: PR 4258) |
| Enumeration Date | 2012-08-06 |
| Last Update Date | 2012-08-06 |