| NPI | 1760935381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL 18563) |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral (Licence: FL 18563) |
| 101YP2500X Counselor, Professional (Licence: FL 18563) | |
| Enumeration Date | 2016-08-01 |
| Last Update Date | 2016-08-01 |