| NPI | 1538306766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CO PSY.0003914) |
| Enumeration Date | 2009-01-09 |
| Last Update Date | 2015-10-13 |