| NPI | 1467635359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MT 8216) |
| Additional Taxonomies | 103TS0200X Psychologist School (Licence: MT 215041) |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2015-04-04 |