| NPI | 1326364340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 225C00000X Rehabilitation Counselor | |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2019-02-11 |