| NPI | 1932386216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist School (Licence: CT 21604) |
| Additional Taxonomies | 101YS0200X Counselor School (Licence: CT 21604) |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2008-01-29 |