| NPI | 1699003749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: TX 35103) |
| Additional Taxonomies | 103TC1900X Psychologist Counseling (Licence: IN 99036318A) |
| Enumeration Date | 2009-12-01 |
| Last Update Date | 2023-04-13 |