| NPI | 1922282185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OR 5025) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OR 5025) |
| Enumeration Date | 2007-12-24 |
| Last Update Date | 2019-04-03 |