| NPI | 1457360877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: VT 047-0000645) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: VT 047-0000645) |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: VT 047-0000645) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: VT 047-0000645) | |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2014-06-13 |