| NPI | 1558431775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: AZ 942) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: AZ 942) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2014-07-21 |