| NPI | 1477051084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CO 479490522) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: CO 7992) |
| Enumeration Date | 2018-01-29 |
| Last Update Date | 2020-12-22 |