| NPI | 1518416049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: FL PY9487) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: PA PS005990L) |
| Enumeration Date | 2016-09-26 |
| Last Update Date | 2016-09-26 |