| NPI | 1568795250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: WI 5291-57) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| Enumeration Date | 2009-09-11 |
| Last Update Date | 2024-11-18 |