| NPI | 1629220645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO 2626) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: CO 2626) |
| Enumeration Date | 2008-10-22 |
| Last Update Date | 2016-07-14 |