| NPI | 1346961620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YS0200X Counselor School (Licence: OR 110285) |
| Additional Taxonomies | 103TS0200X Psychologist School (Licence: OR 110285) |
| Enumeration Date | 2022-09-06 |
| Last Update Date | 2022-09-06 |