| NPI | 1659863165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: FL SS1267) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH16639) |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2018-05-31 |