| NPI | 1336618610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YS0200X Counselor, School |
| 103TF0000X Psychologist, Family | |
| Enumeration Date | 2018-11-16 |
| Last Update Date | 2018-11-16 |