| NPI | 1457501413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: KY 167795) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: IN 20042731A) |
| Enumeration Date | 2008-09-26 |
| Last Update Date | 2019-07-29 |