| NPI | 1770858243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: PR 5932) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PR 9365) |
| Enumeration Date | 2012-03-17 |
| Last Update Date | 2018-03-17 |