| NPI | 1396854022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810000290) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701002492) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2007-09-07 |