| NPI | 1821507344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OR 2958) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: OR 2958) |
| Enumeration Date | 2017-09-27 |
| Last Update Date | 2019-12-27 |