| NPI | 1346488160 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK Candidate)  | 
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: OK 133823)  | 
| 103TS0200X Psychologist, School (Licence: OK 133823)  | |
| Enumeration Date | 2009-02-02 | 
| Last Update Date | 2009-02-02 |