| NPI | 1992838247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CT 060002078) |
| Additional Taxonomies | 103TC1900X Psychologist Counseling (Licence: CT 002078) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2011-09-02 |