| NPI | 1801127261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701004217) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: ZZ PS0058777) |
| Enumeration Date | 2010-01-26 |
| Last Update Date | 2010-01-26 |