| 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 |