| NPI | 1407086374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TN 3653) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2004013645) |
| 101YP2500X Counselor, Professional (Licence: TN 3359) | |
| Enumeration Date | 2009-07-24 |
| Last Update Date | 2020-11-10 |