| NPI | 1528273893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MD LC0740) |
| Additional Taxonomies | 103TP2701X Psychologist Group Psychotherapy (Licence: MD LC0740) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2007-07-08 |