| NPI | 1700172764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 4857) |
| Additional Taxonomies | 103TS0200X Psychologist, School |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2024-05-08 |