| NPI | 1730211871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MD 1892) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MD 1892) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2010-07-22 |