| NPI | 1649498502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: HI PSY 993) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: CA PSY 17499) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2010-10-07 |