| NPI | 1720144298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MO 2004033833) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: KS 1368) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2007-07-08 |