| NPI | 1730316035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PR 2938) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| 103TS0200X Psychologist, School | |
| Enumeration Date | 2009-06-15 |
| Last Update Date | 2009-06-15 |