| NPI | 1235498445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 002147) |
| Additional Taxonomies | 103TS0200X Psychologist, School |
| Enumeration Date | 2012-05-08 |
| Last Update Date | 2012-05-08 |