| NPI | 1083758973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: DE PC-0000970) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: DE 2101) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2020-04-09 |