| NPI | 1720393705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL py8046) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: FL py8046) |
| Enumeration Date | 2010-08-13 |
| Last Update Date | 2016-09-16 |