| NPI | 1487661815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: AR P0603018) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: AR AR 86 3-E) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2007-07-08 |