| NPI | 1669668471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AK 633) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AK 514) |
| Enumeration Date | 2007-09-15 |
| Last Update Date | 2020-08-21 |