| NPI | 1104688001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YS0200X Counselor, School |
| 103TF0000X Psychologist, Family (Licence: LA 5894) | |
| Enumeration Date | 2024-01-25 |
| Last Update Date | 2024-01-25 |