| NPI | 1881737658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: RI 637) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MA 7375) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2008-11-25 |