| NPI | 1386893683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VT 048.0072593) |
| Additional Taxonomies | 101Y00000X Counselor |
| 103TS0200X Psychologist, School | |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2012-05-14 |