| NPI | 1932417490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: PR 3797) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PR 3797) |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: PR 3797) | |
| Enumeration Date | 2010-09-18 |
| Last Update Date | 2010-09-18 |