| NPI | 1710312558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: TX 39448) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: RI PS01882) |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2023-05-30 |