| NPI | 1740406271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: AL 1326) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: GA 06-1639992) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2011-08-19 |