| NPI | 1427034800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 2411) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 4808) |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2009-11-16 |