| NPI | 1831419340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY10407) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH11719) |
| Enumeration Date | 2010-06-07 |
| Last Update Date | 2019-03-15 |