| NPI | 1366865941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MD 05209) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MD 05209) |
| Enumeration Date | 2014-02-02 |
| Last Update Date | 2017-11-22 |