| NPI | 1437139607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: ID PSY-188) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: WA #1017) |
| Enumeration Date | 2006-01-22 |
| Last Update Date | 2011-10-31 |