| NPI | 1770674392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 2604) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC 13483) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2024-08-30 |