| NPI | 1417364068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH1750) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: FL SS234) |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2014-07-15 |