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 |