| NPI | 1376548321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 002013) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MO 01782) |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2007-07-09 |