| NPI | 1659705044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: CO 1659705044) |
| Additional Taxonomies | 174400000X Specialist (Licence: CO 1659705044) |
| Enumeration Date | 2013-08-21 |
| Last Update Date | 2016-02-08 |