| NPI | 1457385361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 2672) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NC 0833) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2007-07-08 |