| NPI | 1235551847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SD LPC-MH 2183) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: SD LAC 08051363) |
| Enumeration Date | 2014-01-16 |
| Last Update Date | 2014-01-16 |