| NPI | 1851395206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: FL PY 7566) |
| Additional Taxonomies | 174400000X Specialist (Licence: GA PSY002569) |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2007-09-24 |