| NPI | 1053590968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 103TS0200X Psychologist, School | |
| Enumeration Date | 2007-10-26 |
| Last Update Date | 2008-04-29 |