| NPI | 1538121199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY 6657) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH 3879) |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2012-02-14 |