| NPI | 1629592449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 4384) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: SC 4384) |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2018-03-17 |