| NPI | 1770957342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: OK 1419) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: NC 4873) |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2022-10-14 |