| NPI | 1033475363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: SD 71409-2) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: SD 71409-2) |
| 101YS0200X Counselor, School (Licence: CA 101223316) | |
| 103TS0200X Psychologist, School (Licence: CA 101223316) | |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2012-04-11 |