| NPI | 1669716445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: NC 6549) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: SC 1803) |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2024-04-30 |