| NPI | 1285080226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: SC 2887) |
| Additional Taxonomies | 103TS0200X Psychologist School (Licence: SC 2887) |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2016-05-09 |