| NPI | 1003129529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 4956) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: MA 369291) |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2010-07-26 |