| NPI | 1528105186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OR 2136) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR c1275) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2011-05-04 |