| NPI | 1881730604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: UT 5637060-2501) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: UT 5637060-2501) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2021-11-09 |