| NPI | 1508048059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NC 1223) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 1223) |
| 101YP2500X Counselor, Professional (Licence: NC 1223) | |
| 103T00000X Psychologist (Licence: NC 1223) | |
| 103TC0700X Psychologist, Clinical (Licence: NC 1223) | |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2007-11-29 |