| NPI | 1558517847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: FL PY 8351) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MA 9269) |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2011-08-29 |