| NPI | 1568864965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: MA 330826) |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2015-08-07 |