| NPI | 1669705026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 38340) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: NE 814) |
| 103TC1900X Psychologist, Counseling (Licence: LA 911) | |
| 103TC1900X Psychologist, Counseling (Licence: MO 2016037433) | |
| Enumeration Date | 2009-09-16 |
| Last Update Date | 2020-09-07 |