| NPI | 1437340130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA 004884) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: GA 454690) |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2016-11-01 |