| NPI | 1578739652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MD 04666) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC2720) |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2012-10-12 |