| NPI | 1730461393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NE 859) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NE 9485) |
| Enumeration Date | 2011-09-09 |
| Last Update Date | 2014-08-28 |