| NPI | 1326269010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MO 002155) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: 002155) |
| 103TS0200X Psychologist School | |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2007-07-09 |