| NPI | 1336469493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PR 808) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: PR 1790) |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2010-06-10 |