| NPI | 1740414580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: KY 1586) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: NC 3382) |
| Enumeration Date | 2009-05-07 |
| Last Update Date | 2010-12-08 |