| NPI | 1386190528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: PR 5717) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PR 1188) |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2016-08-28 |