| NPI | 1669008439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PR 005917) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| Enumeration Date | 2020-03-12 |
| Last Update Date | 2020-03-14 |