| NPI | 1518384890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CT 001123) |
| Additional Taxonomies | 103TS0200X Psychologist School |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2014-03-25 |