| NPI | 1467515510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 0076041) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NM 0076041) |
| 103TS0200X Psychologist, School (Licence: NM 270679) | |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2022-12-02 |