| NPI | 1578612032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 3248) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: CO 0196390) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2007-07-08 |