| NPI | 1457698631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: HI PSY 1376) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: CO PSY.0003815) |
| Enumeration Date | 2013-01-08 |
| Last Update Date | 2013-03-12 |