| NPI | 1841411519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 05522) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD 1577) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2016-08-05 |