| NPI | 1841826492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: NC 5691) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NC 5691) |
| Enumeration Date | 2020-03-16 |
| Last Update Date | 2020-08-13 |