| NPI | 1457564114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 000437) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: MA 1952) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NC 0503) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA 6116) | |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2007-07-08 |