| NPI | 1215034467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WV 487) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: WV 21016) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-07-09 |