| NPI | 1770860835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: AK 690) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: AK PSYS118) |
| Enumeration Date | 2011-11-03 |
| Last Update Date | 2020-04-14 |