| NPI | 1710015813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 2854) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: NC 2854) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2024-05-31 |