| NPI | 1720109762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NM 0701) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0701) |
| 101YS0200X Counselor, School (Licence: NM 229357) | |
| 103TS0200X Psychologist, School (Licence: NM 229357) | |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2007-07-08 |