| NPI | 1417033697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 1964) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC 4038) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2008-04-14 |