| NPI | 1366621849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CO 0006211) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 0006211) |
| 103TC1900X Psychologist, Counseling (Licence: CO 006211) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: CO 0006211) | |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2019-01-30 |