| NPI | 1184823213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: DE PC0000398) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: DE 6354) |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2007-08-11 |