| NPI | 1710389408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: CO 4991) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: LA 1374) |
| Enumeration Date | 2014-09-24 |
| Last Update Date | 2024-04-03 |