| NPI | 1609470541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2021042139) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 103TS0200X Psychologist, School | |
| Enumeration Date | 2020-11-22 |
| Last Update Date | 2025-01-09 |