| NPI | 1679609036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA 04539) |
| Additional Taxonomies | 101Y00000X Counselor |
| 103T00000X Psychologist (Licence: GA 004539) | |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2010-03-08 |