| NPI | 1669683330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MO 2005038698) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: KS 03108) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2022-07-22 |