| NPI | 1619285152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: NM 0130551) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NM 0130551) |
| Enumeration Date | 2010-09-17 |
| Last Update Date | 2023-12-08 |