| NPI | 1396931374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: MA 966) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: MA 332160) |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2007-09-24 |