| NPI | 1609181338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: OR 052) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: OR 050) |
| Enumeration Date | 2010-08-18 |
| Last Update Date | 2010-08-18 |