| NPI | 1164607248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: AZ 3527748) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ID LPC-8942) |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2024-03-18 |