NPI | 1407131634 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: UT 49056016004) |
Additional Taxonomies | 103TS0200X Psychologist, School (Licence: UT 24537) |
Enumeration Date | 2011-10-19 |
Last Update Date | 2011-10-19 |