| NPI | 1386798585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: VA 701004086) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0701004086) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2009-09-30 |