| NPI | 1841286275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NE 818) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NE 1474) |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2013-04-04 |