| NPI | 1346483336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH22520) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: PR 3116) |
| Enumeration Date | 2009-04-07 |
| Last Update Date | 2023-07-19 |