| NPI | 1457495087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL FLMHC1284) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2015-07-31 |