| NPI | 1912921560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NE 766) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 2270) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2015-07-29 |