| NPI | 1669800124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: CO 3843) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: OH 6786) |
| Enumeration Date | 2013-10-21 |
| Last Update Date | 2021-06-09 |