| NPI | 1447348685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY 7179) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL MH7084) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2020-01-17 |