| NPI | 1114144433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YS0200X Counselor, School (Licence: AZ 3585131) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: AZ 3585131) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2007-07-08 |