| NPI | 1356606826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 1499) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: LA AN002462) |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2012-07-10 |