| NPI | 1972526341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY7597) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL MH 2931) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2008-01-04 |