| NPI | 1487013488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 103TC1900X Psychologist Counseling |
| 103TH0100X Psychologist Health Service | |
| Enumeration Date | 2016-02-18 |
| Last Update Date | 2016-02-18 |