| NPI | 1548294994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC A11253) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 1266) |
| 103T00000X Psychologist (Licence: NC 1266) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2015-08-13 |