| NPI | 1811141435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA PSY003441) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC005406) |
| Enumeration Date | 2008-11-10 |
| Last Update Date | 2011-12-13 |