| NPI | 1770895112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: OK 0176) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OK 0176) |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2010-07-13 |