| 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 |