| NPI | 1487825246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: CO 4530) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: TX 33457) |
| 103TC1900X Psychologist, Counseling (Licence: NC 4030) | |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2021-09-23 |