| NPI | 1780998013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: NE 895) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: IA 06748) |
| Enumeration Date | 2010-07-28 |
| Last Update Date | 2018-03-17 |