| NPI | 1245412485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 001677-01) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: NY 787305) |
| 103TS0200X Psychologist, School (Licence: AZ 3962516) | |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2023-06-12 |