| NPI | 1528540861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: PR 5990) |
| Additional Taxonomies | 103TC1900X Psychologist Counseling (Licence: PR 5990) |
| 103TC1900X Psychologist Counseling | |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2021-06-08 |