| NPI | 1588822134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: 86) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: AK 372) |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2013-10-02 |