| NPI | 1043456726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 574) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: MA 835) |
| Enumeration Date | 2008-12-30 |
| Last Update Date | 2008-12-30 |