| NPI | 1205148343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: FL SS199) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH133) |
| Enumeration Date | 2010-07-06 |
| Last Update Date | 2019-12-06 |