| NPI | 1508900945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 2933-125) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WI 1572-057) |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2007-07-08 |