| NPI | 1366788168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: WA ESA-376284F) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: WA ESA-376284F) |
| Enumeration Date | 2012-12-26 |
| Last Update Date | 2012-12-26 |