| NPI | 1689064016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MX61148490) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: DE 76486) |
| Enumeration Date | 2015-01-23 |
| Last Update Date | 2021-08-09 |