| NPI | 1588824023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MD 01740) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MD 01740) |
| 103TC1900X Psychologist Counseling (Licence: MD 01740) | |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2014-09-05 |