| NPI | 1508209065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: SC 1414) |
| Additional Taxonomies | 103TS0200X Psychologist School (Licence: SC 193011) |
| Enumeration Date | 2013-04-15 |
| Last Update Date | 2013-06-13 |