| NPI | 1841841012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: NC 5377) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: PA PC007484) |
| 103TC1900X Psychologist Counseling (Licence: CA 30181) | |
| Enumeration Date | 2019-09-27 |
| Last Update Date | 2019-09-27 |