| NPI | 1689799231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: CT 002838) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CT 002838) |
| 103TC0700X Psychologist, Clinical (Licence: WI 2668) | |
| 103TC0700X Psychologist, Clinical (Licence: CT 002838) | |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-03-28 |