| NPI | 1659679850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NE 414) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 4056) |
| Enumeration Date | 2011-03-11 |
| Last Update Date | 2014-10-29 |