| NPI | 1619047701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: KS 081) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MO PY01088) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2007-07-08 |