| NPI | 1346397338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 2756) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NE 1465) |
| 103TS0200X Psychologist, School (Licence: NE 31858) | |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2007-07-09 |