| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
|
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TA0700X Psychologist, Adult Development & Aging |
| 103TC1900X Psychologist, Counseling |
| 103TC2200X Psychologist, Clinical Child & Adolescent |
| 103TF0000X Psychologist, Family |
| 103TF0200X Psychologist, Forensic |
| 103TH0004X Psychologist, Health |
| 103TP0814X Psychologist, Psychoanalysis |
| 103TP2701X Psychologist, Group Psychotherapy |
| 103TS0200X Psychologist, School |
| Enumeration Date | 2013-07-12 |
| Last Update Date | 2014-06-02 |