| NPI | 1619194149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH0001949) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: FL SS0000325) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2007-07-08 |