| NPI | 1457474942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: DC 1782) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MD 2967) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2007-07-08 |