| NPI | 1619022142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: VA 0810006100) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: TN P0000002539) |
| 103TC1900X Psychologist, Counseling (Licence: KY KY-1482) | |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2019-02-21 |