| NPI | 1932139425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: FL PY 9485) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MA 7249) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2016-07-21 |