| NPI | 1114080181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 4478) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NC 324) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2007-07-09 |