| NPI | 1497999429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL SS708) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH9815) |
| Enumeration Date | 2009-04-21 |
| Last Update Date | 2009-04-21 |