| NPI | 1982723458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 04347) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LC1193) |
| 101YP2500X Counselor, Professional (Licence: DC PCR13759) | |
| 103TS0200X Psychologist, School | |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2008-06-10 |