NPI | 1356961866 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LGP11626) |
Additional Taxonomies | 103TS0200X Psychologist, School |
Enumeration Date | 2020-04-24 |
Last Update Date | 2021-07-01 |