| NPI | 1629441845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: AL 1964) |
| Additional Taxonomies | 103TH0004X Psychologist, Health (Licence: AL 1964) |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: AL 1964) | |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2019-10-09 |