| NPI | 1447817556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: FL ss1395) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL Imh21845) |
| Enumeration Date | 2019-05-23 |
| Last Update Date | 2022-01-12 |