| NPI | 1427331263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: CO 4168) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CO 4168) |
| Enumeration Date | 2011-09-27 |
| Last Update Date | 2020-01-30 |