| NPI | 1750511408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: OR 2298) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR 4454) |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2024-08-19 |