| NPI | 1861610479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 001500) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: IN 20010513A) |
| Enumeration Date | 2007-04-22 |
| Last Update Date | 2007-07-08 |