| NPI | 1700219508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: WA PY60965267) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: NY 024973) |
| Enumeration Date | 2013-08-15 |
| Last Update Date | 2023-12-04 |