| NPI | 1518335751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: NE 908) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: NE 508) |
| Enumeration Date | 2015-09-04 |
| Last Update Date | 2022-07-29 |