| NPI | 1659345544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: CO PSY.0000554) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CO 554) |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2024-02-22 |