| NPI | 1386957371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WI 2937-57) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: WI 2011-125) |
| 101YS0200X Counselor School (Licence: WI 181287) | |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2018-05-30 |