| NPI | 1497706394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WI 2744-57) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: WI 1505125) |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2011-08-09 |