| NPI | 1235657719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 3202) |
| Additional Taxonomies | 103TS0200X Psychologist, School |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2017-09-05 |