| NPI | 1992837918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: WI 2927-57) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: WI 3364) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2020-03-03 |