| NPI | 1679726376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: GA 008888) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: GA 008888) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2024-12-10 |